Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ASPEN RIDGE EYE CARE, PLLC

NPI: 1023223187 · AMMON, ID 83406 · Optometrist · NPI assigned 05/11/2007

$0.00
Total Medicaid Paid
40
Total Claims
39
Beneficiaries
1
Codes Billed
2018-04
First Month
2023-09
Last Month

Provider Details

Authorized OfficialCARLSON, JERRY (OWNER)
NPI Enumeration Date05/11/2007

Related Entities

Other providers sharing the same authorized official: CARLSON, JERRY

ProviderCityStateTotal Paid
ADVANCED EYECARE OF BLACKFOOT PLLC BLACKFOOT ID $52K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16 $0.00
2019 12 $0.00
2023 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 40 39 $0.00